Financial Assistance Application Form
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1
2How to Use This Form
YMCA of Austin
Financial Assistance Policy
The YMCA
1.
Complete the YMCA of Austin Financial
YMCA of Austin programs and activities
As-sistance Application on the reverse
are designed to benefit persons of all
is for
side of this brochure.
back-grounds, and fees are based on
2.
Attach one of the following
the cost of providing each program.
additional forms to the application:
While partici-pants are expected to
everyone
pay their fair share, when financial
Your most recent 1040 Federal tax
·
return, or
assistance dollars are avail-able, the
YMCA will assist any individual or
Your two most recent pay stubs or
·
bank statements, and (if applicable)
family that wants to participate but
can-not afford the fee.
The two most recent pay stubs or bank
·
statements of all other earners in your
Bastrop YMCA
household, and
1112 Main St.
Bastrop, TX 78602
Proof of other income (including gov-
·
321-9622
ernment assistance).
East Communities YMCA
Return all of the above materials (includ-
5315 Ed Bluestein
3.
933-9622
ing this form) to the appropriate YMCA
Financial
of Austin branch.
Hays Communities YMCA
Assistance
465 Buda Sportsplex Dr. Buda, TX
78610
What Happens Next
Program
523-0099
North Park Family YMCA
1.
Processing of your forms usually takes
9616 North Lamar
about two weeks.
973-9622
2.
When your forms are processed, the
Northwest Family YMCA
YMCA will contact you by letter or
5807 McNeil
telephone.
335-9622
3.
The YMCA will send you a letter to
verify that your application has been
Program Services YMCA
approved.
3208 Red River St. Ste. 100
4.
Bring the verification letter with you
236-9622
when-ever you sign up for a YMCA
membership or program.
Southwest Family YMCA
6219 Oakclaire
Financial Assistance Is Temporary
891-9622
Springs Family YMCA
The YMCA of Austin recognizes that
27216 Ranch Road 12 South
from time to time, people may need
Dripping Springs, TX 78620
some
finan-cial
help.
Financial
894-1789
assistance is intended to be temporary.
You may be asked to reapply.
TownLake YMCA
1100 West Cesar Chavez
542-9622
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